Chapter 960： Patch repair

After all, it is not the operation that I have done. What is the condition of the patient's chest and abdomen? It is absolutely impossible to guess according to the surgical record.

When Zheng Ren was in the general surgery of Haicheng City, he encountered such a patient.

After caesarean section, the patient developed massive hemorrhage. The doctors at the township hospitals opened their laps in an emergency and found that when they had a caesarean section, they didn't know how to do it, and they broke the spleen.

This is a proper medical accident, but the bizarre things have not stopped here.

Emergency splenectomy, postoperative patients found difficulty breathing. So I checked the CT of the lungs and found that the left iliac crest, pneumothorax, and lung tissue were compressed.

The director of the township hospital panicked and quickly sent the patient to the first hospital in Haicheng.

For them, Haicheng First Hospital is their superior hospital, it is their day.

Liu Tianxing and the director of the township hospital had a good relationship, and he took the patient and helped him wipe his butt.

A check revealed a large amount of pneumothorax in the left chest of the patient.

Looking for a chest to go to the stage together, found that when the patient was doing splenectomy, the diaphragm did not know how to break a hole, and the lungs ruptured.

So a patch of repair, suture, the patient finally discharged after half a month.

The level of doctors in township hospitals can't be complimented, just like the doctors in the large top three hospitals in the Imperial Capital and the Magic City look at the Haicheng First Hospital.

This is a gap in the level of technology and there is absolutely no way.

Zheng Ren didn't understand it now, why did he have a caesarean section to break the spleen? Why cutting a spleen can cause lung rupture and rupture of the diaphragm.

This is simply too horrible.

Spreading a doctor with a low level of skill is really a joke. However, we cannot expect all doctors to have high levels, which is unrealistic.

This is also the main purpose of Zheng Ren’s operation in the live broadcast room. Anyway, I am doing my best.

The situation of this patient in front of him is similar to that of the female patient who was experiencing caesarean section experienced by Zheng Ren, but the actual situation is not the same.

When Zheng Ren saw the film for a moment, he was sure that it was definitely a liver.

This is caused by the secondary damage, which is certain, but it is not the doctor who made a low-level mistake. It is because the congenital sternal posterior iliac crest is relatively rare, and the patient's older age, the diaphragm is not strenuous.

Zheng Ren made the judgment at the first time.

Cui Lao put on the reading glasses and started reading one frame at a time.

Soon, the director of the emergency department and director Zhang of the hepatobiliary surgery and director Li of the thoracic surgery also rushed to Cui Lao's office.

They saw Zheng Ren in, and they all stunned.

Director Zhang smiled and said: "Zheng boss, the surgery just done, but it is beautiful!"

"Over the prize." Zheng Ren smiled slightly and said modestly.

"It’s good to do well, young people are too modest." Director Zhang smiled and began to listen to Zhou Litao once again reporting his medical history.

The hospital is always the most annoying of this kind of life, the same medical history has been repeated twice, and even three or five times of continuous reporting.

Fortunately, several directors have come, and it seems that they do not need more reports.

Soon after listening to the medical history, everyone began to study the film.

The patient's condition is very bad. Originally, the two general anesthesia operations have been hit, and after a week of recovery, the body has just improved. However, there was a situation of liver sputum and a long journey, and this came to 912.

Tossing for so long, even if it is the body of the iron, there will be some problems.

In emergency surgery, whether it is a thoracic surgery or a hepatobiliary surgery is a problem.

No one is willing to accept a patient who has been ruined, so Cui Lao experienced the “direct” of the directors of the two related departments directly to his office to avoid the troubles of each other.

Of course, the emergency department has the right to push the patient directly to a certain department, and the face cannot be rejected. But it is a better choice for everyone to sit together, and to express their enthusiasm and then go on stage.

This thing is extremely sophisticated, but only the academician-level old people have this temperament, and they have both the directors of the two related departments and the director of the emergency department to come together for consultation.

Zheng Ren originally prepared salted fish.

The patient's condition is relatively clear, the surgery, detailed exploration, repair of the diaphragm is also. This kind of thing, there is no way to say which director to accept.

Anyway, there is Cui old, and he is a salty fish for a while.

However, his wishful thinking was quickly broken, and several directors did not speak, looking at Zheng Ren.

"Xiao Zheng, talk about your thoughts." Cui said slowly.

"..." Zheng Ren is puzzled, look left, look right, see the two directors no one speaks, know that they must say something.

Cui Lao's attention is on the one hand, and the other is the operation of the newly completed Gaucher's disease, which is valued by Director Zhang.

If you change someone, this is a kind of glory. But Zheng Ren knows how deep the water is, and feels that it is difficult to do.

Zheng Ren was slightly indulged, and Cui Lao’s gaze was like a whip on Zheng Ren’s body.

"Then I will first throw a brick to attract jade, and simply talk about my views." Zheng Ren took a moment to discretion, and politely said, "I can't think of it, please ask a few directors."

"Patients due to congenital sternal posterior iliac crest plus age, leading to atrophy of the right diaphragm.

Moreover, due to the large size of the primary sputum, the course of the disease is relatively long, and the diaphragmatic dysfunction occurs after the operation, and the removal of the sac in the whole block during the operation causes the diaphragm function to be further weakened and the surrounding tissue to be damaged. ”

"In summary, I consider the patient's liver sputum because of congenital sternal posterior sacral resection, resulting in excessive diaphragmatic muscle tension, combined with pulmonary bleb, excessive mechanical ventilation, and a large area of ​​the right diaphragm. Tearing."

"Surgical repair It is best to use the patch to relieve the local tension. Related patches, are there in the hospital?" Zheng Ren asked.

"Yeah." Director Zhang nodded. "Tear length, I guess it is around 15cm. I agree with the analysis of Zheng Boss. If this surgery is carried out from the abdominal cavity, there is liver obstruction. It is difficult to have surgery. Chest open thoracic treatment, we can go to the stage to help."

Thoracic incision has been the most common invasive procedure for hernia surgery, especially since the removal of the hernia sac is more suitable for this method. The morbidity and mortality after laparotomy were considered to be the highest, and Director Zhang’s statement was not wrong.

However, Zheng Ren was hesitant, but he remained silent.

"Xiao Zheng, what do you want to say?" Cui Lao, although wearing reading glasses, was able to see the autumn.

"I think Director Zhang is right. The key to the operation of the patient is that it is still a patch." Zheng Rendao, "The patient's diaphragm has a high probability of contraction, so the tension will be too high due to the removal of the hernia sac. There is a torn condition. The patch itself is more resilient than the diaphragm, and it can also fully relieve the tension of the diaphragm."

"With such a large patch, the operation is somewhat difficult." Director Li of the Department of Chest, said.